TETYANA L VASYLYEVA (NPI# 1255542023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255542023 |
| Entity Type | Individual |
| Full Name | TETYANA L VASYLYEVA |
| Credential | MD, PHD |
| Practice Address |
1400 S Coulter St Amarillo TX 79106-1786 |
| Mailing Address |
1400 Wallace Blvd Amarillo TX 79106-1708 |
| Practice Telephone | 8064149800 |
| Practice Fax Number | 8063545689 |
| Mailing Telephone | 8064149800 |
| Mailing Fax Number | 8063545689 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 228852 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
N8070 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
42535 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
234150 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 198943602 | 05 | |
| NM | 73730785 | 05 | |
| OK | 200232360A | 05 | |
| TX | 198943601 | 05 |
| Street Address |
1400 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980057 | Jack D Waller | Specialist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2005-05-31 |
| 1992311385 | Karlyn Hood | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-09-21 |
| 1083225866 | Roa Ali Eliyan Bashtawi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-08-13 |
| 1063040020 | Mohammed Adib Tanbir | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-27 |
| 1558998898 | Joshua Anthony Sorenson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-26 |
| 1740815943 | Udhaya Aelety | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-08 |
| 1831720341 | Nicole Moreno | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-02-03 |
| 1891347399 | Baptist Saint Anthony Health System | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1134771645 | Daniyah Ali Elagi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1861055782 | Jankikeerthika Muthukaruppan Dharmarpandi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859755 | Peace Dorothy Imani | Pediatrics | 1102 Bates Ave., Baylor College of Medicine, Houston, Tx, TX 77030 | 2014-03-24 |
| 1356762256 | L. L. Hill | Pediatrics | 4906 Tilbury, Houston, TX 77056-2214 | 2013-12-18 |
| 1154640324 | Khurrum Siddique | Pediatrics | 2821 Michaelangelo Dr Ste 101, Edinburg, TX 78539-1411 | 2010-05-26 |
| 1194053496 | Jack Moncrief Group, Pa | Pediatrics | 800 West 34th Street, Suite 101, Austin, TX 78705 | 2009-11-24 |
| 1922272236 | Alvaro Hernando Orjuela | Pediatrics | 1102 Bates Ave Ste 260, Houston, TX 77030-2619 | 2008-04-17 |
| 1417157215 | Catherine Joseph | Pediatrics | 1102 Bates Ave Ste 245, Houston, TX 77030-2619 | 2007-07-19 |
| 1003916172 | Jose F Pascual-baralt | Pediatrics | 7419 Round Mtn, San Antonio, TX 78255-1159 | 2006-09-25 |
| 1962519033 | Mazen Arar | Pediatrics | 333 N Santa Rosa, 2nd Fl, San Antonio, TX 78207 | 2006-08-24 |
| 1376905596 | Caroline Elizabeth Jarrell | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2016-03-26 |
| 1093154379 | Ali Kareem Kurady | Pediatrics | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-06-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.